Accessing Gender-Affirming Care

What you need to know

• Family doctors can diagnose gender dysphoria, provide hormone
replacement therapy (HRT), and give referrals for gender affirming surgery.
• Some doctors may want to consult with mental health service providers, but
this is not required.
• Some doctors may want to refer to an endocrinologist or transgender health
clinic, but this is not required.
• If your doctor would like further training on how to support patients looking for
gender-affirming care, they can visit the Rainbow Health Ontario pages below.
• In order for OHIP to cover gender-affirming surgery, you must submit 1-2 assessments from
qualified healthcare providers. See the “OHIP Requirements for Gender-Affirming Surgery”
document below for further details.

Suggestions from the doctors at World Professional Association of Transgender Health (WPATH)

• It’s okay to request to record your conversation with your doctor.
• It’s okay to bring someone with you to your doctor’s appointments.
• It’s okay to advocate for yourself and/or have someone advocate with you.
• It’s okay to leave the room.

Helpful links

SHORE Centre in Kitchener-Waterloo now offering comprehensive gender-affirming care

Rainbow Health Ontario Guide for Primary Care Providers:

https://www.rainbowhealthontario.ca/TransHealthGuide/index.html

Rainbow Health Ontario mentorship call (1st & 3rd Wed each month):

https://www.rainbowhealthontario.ca/lgbt2sq-health/trans-care-

mentorship-call/

OHIP Requirements for Gender-Affirming Surgery: https://camh.ca/-/media/files/transrelatedsurgery-faq-en-pdf.pdf

Sherbourne Guidelines – Quick Reference:

https://rainbowhealth.wpenginepowered.com/wp-content/uploads/2020/10/QRG_full_rev2021-1.pdf

Sherbourne Guidelines – Full document:

http://www.transforumquinte.ca/downloads/Guidelines-and-Protocols-for-Comprehensive-Primary-Care-for-Trans-Clients-2019.pdf

Standards of Care for the Health of Transgender and Gender Diverse People, Version 8 (Soc8):

https://www.tandfonline.com/doi/pdf/10.1080/26895269.2022.2100644

 

PRINTABLE VERSION HERE